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1588272553
TRAVIS JAMES MACFARLANE
GRAND RAPIDS, MI
NPI
1588272553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302412727)
Enumeration Date
2020-07-16
Last Update Date
2021-08-24
Business Address
TRAVIS JAMES MACFARLANE
1231 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-4501
Phone number: 616-575-5438
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Mailing Address
TRAVIS JAMES MACFARLANE
5302 N LAKE SHORE DR
BLACK RIVER, MI 48721-9705
Phone number: 586-994-1210
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